Individual
DR. GREG A HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 W SIMS WAY, SUITE 203, PORT TOWNSEND, WA 98368-2234
(360) 379-6477
(360) 379-6478
Mailing address
2500 W SIMS WAY, SUITE 203, PORT TOWNSEND, WA 98368-2234
(360) 379-6477
(360) 379-6478
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1715TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007880
—
WA
01
—
6010488
REGENCE
WA
01
—
P00096244
RAILROAD MEDICARE
WA
Enumeration date
12/06/2007
Last updated
08/28/2014
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